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74 Cards in this Set

  • Front
  • Back
Accepting Assignment
providers of medical services agreeing that the receipt of payment from medicare for a professional service wil constitue full payment for that service
accreditation
recognition that a health care organization has met an official standard
Acute care
Level of health care, generally provided in hospitals or emergency departments for sudden serious illnesses or trauma
attending physician
term applied to a physician who admits and is responsible for a hospital patient
Capitation
Payment method whereby the provider of care receives a set dollar amount per patient regardless of services rendered
Case Manager
Health care professional and expert in managed care who assists patients in assessing healh and social servce systems to ensure that all required services are obtained coordinates care with doctor and insurance companies.
Catastrophic Coverage
Coverage a Medicare beneficiary has after reaching a certain amount of out of pocket monies paid for their medications during the temporary coverage gap.
Chief Executive officer
Individual in direct charge of a hospital who is responsible to the governing board.
Chiropractic Medicine
Complementary and alternative health care profession with the purpose of diagnosing and treating mechanical disorders of the spine and musculoskeletal system with the intention of affectiong the nervous system and improving health
Community Health
Concerned with the memebers of a community with emphasis on prevention and early detection of desease.
Coverage Gap
Sometimes called a donut hole a temportrary coverage gap in Medicare that occurs after the beneficiary has accumulated a certain amount of money in total prescription durg expenses.
Custodial Care
unskilled care given for the primary purpose of meeting personal needs such as bathing and dressing
Diangnosis Related Group
Classification system used to dermine payment form M edicare by assigning a standard flat rate to major diagnostic categories.
Governing Board
Group of community citizens at the head of the hospital structure.
Health Maintenance Organization
Organization that has management resposibility for providing basis to voluntarily enrolled person with a designated poplualation.
Home Health
Equipment and services provided to patient in home to ensure comfort and care
Homeopathic Medicine
Alternative medical system A belief that "like cures like"meaning that small highly diluted quantities of medicinal substances are given to cure symtoms when the same substances given at higher or more concentrated doses would actuallly cause those symptoms
Hospice
Supportive care for terminally ill patients and their families.
hospitalist
full time acute care specialist who focuses exclusinvely on hospitalized patients
inpatient
patient who has been admitted to a health care facility for a least 24 hours for treatment and care
integrated Delivery Networks
Health care organizations merged into systems that can provide all needed health care services under one corporate umbrella
international statical clasification of disease and related health problems
detailed description of known diseases and injuries. each diesease is decribed with its diagnosis and given a uniqed code, up to six character long. published by the World Health Organization.
Manet Status
Award given by the American Nurses Credentialing Center to hospitals that satisfy a set of criteria designed to measure their strenght and quality of nursing
Managed Care
The use of planned and systenmatic approach to providing health care, with the goal of offering quality care at the lowest posible cost
Medicaid
Federal and state program tha provides medical asistance to the indigent
Medical Savings Accounts
Tax exempt back accounts that ar owned by an individual, and managed by a financial instiution.
Medicare
Government insurance enacted in 1965 for individual older than 65 and any person with disability who has received social security benefits for 2 years
iMedicare Supplement
Private insuance plan available to Medicare elegible persons to cover the costs of medical care not covered by Medicare
Merger
The combinging of individual physician proactices and small stand alone hospitals into larger networks
Naturopathic medicine
Alternative medical system that proposes that there is a healing power in the body that establishes maintains and restores health. Treaments include nutrition and lifestyle couseling, nutritional supplements, medicinal plants, exercise, homeopathy and treatments from traditional chinese medicine
Outpatient
Patient who receives care at a health care facilityl but is not admitted to the facility for 24 hours
Primary Care Physicain
Sometimes referred to as gate-keepers these general practioners are the first physicians to see a patient for an illness
Proprietary
For Profit
Resident
A graduate of a medical school who is gaining experience in a hospital
Robotic Surgery
The use of robots in performing surgery
Surfing the web
Using different websites on the Internet to locate information
Triage
Nursing intervention. Classification defined as establishing priorites of patient care, usually according to a three level model emergent, urgent, and non urgent
voluntary
not for profit
Web address (URLor uniform resource locator)
kEY WORDS THAT WHEN ENTERED AFTER HTTP: ON THE INTERNET WILL TAKE THE USER TO SPECIFIED LOCATION, REFERRED TO AS A WEBSITE
ANA
AMERICAN NURSES ASSOCIATION
ANCC
AMERICAN NURSES CREDENTIALING CENTER
CCM
CERTIFIED CASE MANAGER
CEO
CHIEF EXECUTIVE OFFICER
CFO
CHIEF FINANCIAL OFFICER
CFO
CHIEF FINANCIAL OFFICER
DO
DOCTORS OF OSTEOPATHY
DRG
DIAGNOSIS RELATED GROUP
DSU
DAY SURGERY UNIT
ECF
EXTENDED CARE FACILITY
ED
EMERGENCY DEPARTMENT
ER
EMERGENT ROOM
HIMS
HEALTH INFORMATION MANAGEMENT SYSTEM
HMO
HEALTH MAINTENANCE ORGANIZATION
HO
HOUSE OFFICER
ICD
ITERNATIONAL STATISCAL CLASSIFICATION OF DISEASES AND RELATED HEALTH PROBLEMS
LTC
LONG TERM CARE
MD
MEDICAL DOCTOR
NEURO
NEUROLOGY
OB
OBSTERICS
OR
OPERATING ROOM
ORTHO
ORTHOPEDICS
PACU
POSTANESTHESIA CARE UNIT
PCP
PRIMIARY CARE PHYSICIAN
PEDS
PEDIATRICS
PPO
PREFERRED PROVIDER ORGANIZATION
PSYCH
PSYCHIATRY
RR
RECOVERY ROOM
SDS
SAVE A DAY -PATIENT ADMITTED DAY OF SURGERY
SNF
SKILLED NURSING FACILITY
SURG
SURGICAL
TJC
THE JOINT COMMISSION
UCR
USUAL CUSTOMARY AND REASONABLE
WHO
WHORL HEALTH ORGANIZATION
WWW
WORLD WIDE WEB